Aesthetic > Regard

An Overview of Principles and New Techniques for Facial Fat Grafting

21 days ago   |   By The Clinics

Facial fat grafting is a small-volume procedure and is primarily performed for facial rejuvenation, contouring, or regenerative surgery. The unsatisfying retention rate after fat grafting, however, led to unpredictable outcomes, subsequent multiple procedures, and even some complications. A variety of methods have been proposed to enhance the results of facial fat grafting, including several established surgical principles and many possible new techniques. Adding stem cells, fat preparations, and platelet concentrates may improve the survival after fat grafting but randomized controlled...
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Facial Fat Grafting

21 days ago   |   By The Clinics

Fat grafting has evolved over the past two centuries and has revolutionized regenerative medicine, aesthetic and reconstructive surgery. Fat grafting provides a safe and minimally invasive technique to improve signs of aging, sun damage, and congenital and acquired craniofacial deformities. The Coleman technique for harvesting, processing, and grafting provides a reliable strategy for consistent results. However, unanswered questions remain regarding the biology of fat grafting, survival mechanisms, and regenerative properties. The future of fat grafting is bright and includes cell-based...
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Fat Grafting for Facial Rejuvenation with Cryopreserved Fat Grafts

21 days ago   |   By The Clinics

Fat grafting to the face for volume augmentation, and skin rejuvenation have become a popular procedure. However, the main obstacles to fat grafting include the unpredictable volume maintenance rate and the unpredictable number of treatments needed to obtain a satisfactory rejuvenate effect. Therefore, many patients need repeat sessions. However, serial fat grafting with fresh fat imposes a burden on the patient not only because of the pain but also because of the downtime of harvesting. Therefore, if the fat can be cryopreserved, and used many times in 1 harvesting, those burdens can be...
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Fat Grafting for Facial Contouring

21 days ago   |   By The Clinics

In this article the authors introduce a compartment-based fat graft for facial contouring, focusing on the anatomy of temporal region and midface, the 3L3M integrated fat transfer technique, and the facial compartment-based fat injection in the face. This article includes details of pre-evaluation methods, results of cases, and postoperation care. Readers will have a clear view of how to do facial contouring fat graft in the face after reading this article. There seldom are complications while using the 3L3M technique for fat grafting. The targeted fat grafting can lead to steady and...
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Fat Grafting for Facial Contouring

21 days ago   |   By The Clinics

The concept of microautologous fat transplantation , proposed by Lin and colleagues in 2007, emphasized that the volume of each delivered parcel should be less than 0.01 mL to avoid potential fat grafting morbidities. The MAFT-GUN facilitates control of the parcel volume and therefore substantially avoids central necrosis and associated complications. In this article, the authors present a simple, reliable, and consistent procedure based on MAFT for profiloplasty. Favorable outcomes with sustainable long-term effectiveness were obtained, further confirming that the MAFT technique is an...
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Microfat and Lipoconcentrate for the Treatment of Facial Scars

21 days ago   |   By The Clinics

Fat grafting is as a unique regenerative filler with soluble factors and progenitor cells that may remodel scar tissue in an easy yet effective way. A combination of microfat grafting, lipococoncentrate injection, scar subcision, and platelet-rich plasma supplementation may be used to treat the majority of facial scars. The lipoconcentrate technique condenses the lipoaspirate to a progenitor cell-rich fluid of low volume by a combination of centrifugation and emulsification steps. In this article, the authors' methods for scar treatment by fat grafting are discussed. Choice of technique...
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Prevention and Management of Serious Complications After Facial Fat Grafting

21 days ago   |   By The Clinics

Facial fat grafting is increasing worldwide. Although there are few reports in the literature on complications following facial lipofilling, rare but serious complications include embolic risk to local end organs such as the skin and eye, and the central nervous system. Treatment strategies are outlined. The key to prevention of complications is understanding the regional anatomy. It is imperative to adhere to the safe and efficacious techniques to minimize risk. Every surgeon who performs facial fat grafting should establish a systematic method to deliver safe, consistent, and long-term...
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Fat Grafting for Pan-Facial Contouring in Asians

21 days ago   |   By The Clinics

In Asia, young patients undergo pan-facial fat injection for facial contouring rather than rejuvenation. Although the procedure is widely performed, there is no singular approach that has been shown to have consistent results. The author's approach based on the facial fat compartment theory is presented here. The injection area is classified into functional zones and transition zones. A retrospective review was performed to evaluate the effectiveness of this approach. Satisfactory results were achieved in 96% of cases. In the author's view, this approach is safe, easy to learn, and...
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Fat Grafting for Treatment of Facial Scars

21 days ago   |   By The Clinics

Autologous fat grafting has become more and more popular among plastic surgeons in the last few years due to recent discoveries on the mesenchymal stem cells stored in the harvested fat. These cells have a great regenerative potential and have the ability to restore the damaged tissues. The authors focused their practice on the treatment of the facial scars (derived from burns, trauma, degenerative diseases, and radiotherapy) and confirm that lipofilling is an excellent solution because it is able to improve the quality of the damaged tissues in terms of better scar color, pliability...
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